Individual
LINDSEY IDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4000
Mailing address
161 W SHORE RD APT B12, WARWICK, RI 02889-1153
(401) 486-3281
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59958
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59958
RI RN LICENSE NUMBER
RI
Enumeration date
09/20/2018
Last updated
09/20/2018
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